儿童鞍上-鞍旁结核瘤：2 例病例报告及文献复习。

Sellar-suprasellar tuberculomas in children: 2 cases and literature review.

机构信息

Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir.

出版信息

Pediatr Neurol. 2011 Jun;44(6):463-6. doi: 10.1016/j.pediatrneurol.2011.01.020.

DOI:10.1016/j.pediatrneurol.2011.01.020

Abstract

Sellar and suprasellar tuberculomas are rare. Patients with these lesions usually experience headache, vomiting, and hypofunction of pituitary gland; imaging reveals an enhancing sellar-suprasellar mass. We report 2 rare cases of sellar-suprasellar tuberculomas in children aged 8 and 6 years. One child presented with features of headache and vomiting, and the other presented with posterior pituitary dysfunction. In both cases, imaging revealed sellar-suprasellar masses. Both cases were multidrug-resistant tuberculomas. We discuss sellar-suprasellar tuberculomas, a rare form of neurotuberculosis in the background of an overall increase in multidrug-resistant tuberculosis, especially in children.

摘要

鞍区和鞍上结核球很少见。这些病变的患者通常会出现头痛、呕吐和垂体功能减退；影像学显示鞍上增强肿块。我们报告了 2 例儿童鞍上结核球，年龄分别为 8 岁和 6 岁。一个孩子表现为头痛和呕吐的特征，另一个孩子表现为垂体后叶功能障碍。在这两种情况下，影像学均显示鞍上肿块。这两种情况都是耐多药结核球。我们讨论了鞍上结核球，这是一种罕见的神经结核形式，在耐多药结核病（尤其是儿童）总体增加的背景下。